首页|系统化干预对结直肠癌手术患者疾病进展恐惧程度、希望水平、生活质量及营养状况的影响

系统化干预对结直肠癌手术患者疾病进展恐惧程度、希望水平、生活质量及营养状况的影响

Effect of systematic intervention on fear degree of disease progression,hope level,quality of life and nutritional status in patients undergoing colorectal cancer surgery

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目的 探讨系统化干预对结直肠癌手术患者疾病进展恐惧程度、希望水平、生活质量及营养状况的影响.方法 根据干预方法的不同将203例结直肠癌手术患者分为对照组(n=99)和观察组(n=104),对照组患者采取常规干预,观察组患者在对照组的基础上采取系统化干预.比较两组患者的疾病进展恐惧程度[恐惧疾病进展简化量表(FoP-Q-SF)]、希望水平[Herth希望量表(HHI)]、生活质量[生活质量综合评定问卷(GQOLI-74)]、营养指标(总蛋白、血红蛋白)、满意度及并发症发生情况.结果 干预后,两组患者FoP-Q-SF评分均低于本组干预前,HHI评分均高于本组干预前,观察组患者FoP-Q-SF评分低于对照组,HHI评分高于对照组,差异均有统计学意义(P<0.05).干预后,两组患者GQOLI-74各维度评分均高于本组干预前,观察组患者GQOLI-74各维度评分均高于对照组,差异均有统计学意义(P<0.05).干预后,两组患者总蛋白、血红蛋白水平均高于本组干预前,观察组患者总蛋白、血红蛋白水平均高于对照组,差异均有统计学意义(P<0.05).观察组患者的总满意度高于对照组,并发症总发生率低于对照组,差异均有统计学意义(P<0.05).结论 系统化干预能够降低结直肠癌手术患者的疾病进展恐惧程度和并发症发生率,提高患者的希望水平、生活质量及满意度,改善患者的营养状况,值得临床推广.
Objective To explore the effect of systematic intervention on fear degree of disease progression,hope lev-el,quality of life and nutritional status in patients undergoing colorectal cancer surgery.Method A total of 203 patients with colorectal cancer surgery were divided into control group(n=99)and observation group(n=104)according to differ-ent intervention methods.Patients in the control group received routine intervention,and patients in the observation group received systematic intervention on the basis of the control group.The fear degree of disease progression[fear of progres-sion questionnaire-short form(FoP-Q-SF)],hope level[Herth hope index(HHI)],quality of life[generic quality of life in-ventory-74(GQOLI-74)],nutritional indexes(total protein and hemoglobin),satisfaction and complications were com-pared between the two groups.Result After intervention,the FoP-Q-SF scores in both groups were lower than those be-fore intervention,and the HHI scores were higher than those before intervention,the FoP-Q-SF score in observation group was lower than that in control group,and the HHI score was higher than that in control group,and the differences were statistically significant(P<0.05).After intervention,the scores of each dimension of GQOLI-74 in both groups were higher than those before intervention,and the scores of each dimension of GQOLI-74 in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).After intervention,the total protein and hemoglobin levels in both groups were higher than those before intervention,and the total protein and hemoglobin levels in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The total satisfaction rate of the observation group was higher than that of the control group,and the total incidence of complications was lower than that of the control group,and the differences were statistically significant(P<0.05).Con-clusion Systematic intervention can reduce the fear degree of disease progression and the incidence of complications in patients with colorectal cancer surgery,improve the hope level,quality of life and satisfaction,and improve the nutritional status,which is worthy of clinical promotion.

systematic interventioncolorectal cancerfear degree of disease progressionhope levelquality of lifenutritional status

邢佳佳、范文璟、耿利丹

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郑州大学第一附属医院胃肠外科一病区/疝和腹壁外科,郑州 450000

系统化干预 结直肠癌 疾病进展恐惧程度 希望水平 生活质量 营养状况

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(12)